Domain Registration
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Online Domain Registration Form
Please complete this form to register your domain name with Techfusion Australia.
Fields marked with an asterisk (
*
) must be completed.
1.0 Your Domain Name
http://www.
*
Domain type
.com
.net
.biz
.info
.org
.com.au
.net.au
.org.au
.gov.au
.edu.au
.co.uk
.co.nz
Redelegate To Techfusion
Other - please specify
*
2.0 Company information for 'new' .com.au domain names
Only complete this section if you require a .com.au domain. If you do not require a .com.au domain please skip this section and continue with the 'Company Details' section.
Company Name
ACN
Business Name
ABN
Registered In
Select a state
ACT
NSW
QLD
VIC
TAS
SA
WA
NT
Business Type
Please select
Sole Trader
Partnership
2.1 Company Details
If you do not have a company or business name please enter your full name in the 'Company Name' field.
Company Name
*
Phone
*
Street Address 1
*
Street Address 2
Suburb
*
State
Select a state
ACT
NSW
QLD
VIC
TAS
SA
WA
NT
*
Post Code
*
Country
*
2.2 Your Contact Details ( password will be sent to this person )
First Name
*
Surname
*
Email
*
Phone
*
2.3 Additional Contact
If you would like another person to have the ability to change the details and configuration of your site please enter their details here. This section is optional.
First Name
Surname
Email
Phone
3. Payment Details
Please complete the payment section below. Please note that if you choose the 'Invoice Me' option an administration fee of $4.00/month or $32.00/annum will appear on your invoice. If you select the 'Invoice Me' payment method then you do not need to complete the credit card payment fields.
Payment By
Please Select
Bankcard
Diners Card
Mastercard
Visa Card
Invoice Me
*
Card Number
*
Card Name
*
Expires
01
02
03
04
05
06
07
08
09
10
11
12
02
03
04
05
06
07
08
09
09
*
Payment Period
Annually
Monthly
4. Comments
Please outline any details you wish us to follow in registering your domain name.
Your Comments
I agree to the Techfusion's
Terms & Conditions
, and I would like to continue with the registration of my chosen service.
Pricing
.com /.net /.org /.info /.biz
1 yr
AUD $85.00
2 yrs
AUD $150.00
3 yrs
AUD $200.00
4 yrs
AUD $255.00
5 yrs
AUD $325.00
6 yrs
AUD $395.00
7 yrs
AUD $445.00
8 yrs
AUD $520.00
9 yrs
AUD $605.00
10 yrs
AUD $690.00
.com.au /.net.au /.id.au /.asn.au
2 yrs
AUD $150.00
.net.au /.co.uk /.co.nz
2 yrs
AUD $150.00
* All prices include GST
